Provider Demographics
NPI:1174565535
Name:SUTCH, GAYLE MARIE (ATR-BC)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:MARIE
Last Name:SUTCH
Suffix:
Gender:F
Credentials:ATR-BC
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Mailing Address - Street 1:5530 WESTCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-6565
Mailing Address - Country:US
Mailing Address - Phone:301-662-5454
Mailing Address - Fax:301-662-5454
Practice Address - Street 1:5530 WESTCOTT CIR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-6565
Practice Address - Country:US
Practice Address - Phone:301-662-5454
Practice Address - Fax:301-662-5454
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
95-126221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist